Pharmacist Registration Form

Why do we need this information?

In order to set you up with a Healthmail account we need to ensure you are a supervising pharmacist working in a pharmacy. The information you provide will be authenticated by the Irish Pharmacy Union. We need your existing email account and mobile phone number so that we can send you a username for your new Healthmail account by email and a password by text message.

Please Note: Your Pharmacy Name and City/Town will be used to create your Healthmail address e.g. Reilly's Pharmacy, 11 Main St., Rathfarnham, Dublin 14, will be reillys.rathfarnham@healthmail.ie.